NPI | 1558159160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP030350) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15156600) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421776-01) | |
Enumeration Date | 2025-04-25 |
Last Update Date | 2025-04-25 |